Abstract

Fiber optic catheters for the diagnosis of gastrointestinal motility disorders are demonstrated in-vitro and in-vivo. Single element catheters have been verified against existing solid state catheters and a multi-element catheter has been demonstrated for localized and full esophageal monitoring. The multi-element catheter consists of a series of closely spaced pressure sensors that pick up the peristaltic wave traveling along the gastrointestinal (GI) tract. The sensors are spaced on a 10 mm pitch allowing a full interpolated image of intraluminal pressure to be generated. Details are given of in-vivo trials of a 32-element catheter in the human oesophagus and the suitability of similar catheters for clinical evaluation in other regions of the human digestive tract is discussed. The fiber optic catheter is significantly smaller and more flexible than similar commercially available devices making intubation easier and improving patient tolerance during diagnostic procedures.

© 2009 Optical Society of America

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  1. N. J. Shaheen, R. A. Hansen, D. R. Morgan, L. M. Gangarosa, Y. Ringel, M. T. Thiny, M. W. Russo, and R. S. Sandler, "The burden of gastrointestinal and liver diseases, 2006," Am. J. Gastroenterol. 101, 2128-2138 (2006).
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    [CrossRef] [PubMed]
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    [CrossRef] [PubMed]
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    [CrossRef]
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    [CrossRef] [PubMed]
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  24. J. M. Bland and D. G. Altman, "Statistical methods for assessing agreement between two methods of clincal measurement," Lancet 1, 307-310 (1986).
    [CrossRef] [PubMed]

2008 (2)

M. M. Szczesniak, N. Rommel, P. G. Dinning, S. E. Fuentealba, I. J. Cook, and T. I. Omari, "Optimal criteria for detecting bolus passage across the pharyngo-oesophageal segment during the normal swallow using intraluminal impedance recording," Neurogastroenterol. Mot. 20, 440-447 (2008).
[CrossRef]

J. E. Pandolfino, S. K. Ghosh, J. Rice, J. O. Clarke, M. A. Kwiatek, and P. J. Kahrilas, "Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls," Am. J. Gastroenterol. 103, 27-37 (2008).

2007 (1)

M. P. Jones, J. Post, and M. D. Crowell, "High-resolution manometry in the evaluation of anorectal disorders: a simultaneous comparison with water-perfused manometry," Am. J. Gastroenterol. 102, 850-855 (2007).
[CrossRef] [PubMed]

2006 (3)

N. J. Shaheen, R. A. Hansen, D. R. Morgan, L. M. Gangarosa, Y. Ringel, M. T. Thiny, M. W. Russo, and R. S. Sandler, "The burden of gastrointestinal and liver diseases, 2006," Am. J. Gastroenterol. 101, 2128-2138 (2006).
[CrossRef] [PubMed]

B. C. Martin, V. Barghout, and A. Cerulli, "Direct medical costs of constipation in the United States," Manag. Care Interface 19, 43-49 (2006).

T. Omari, J. W. Arkwright, S. N. Doe, N. Rommel, M. M. Szczesniak, P. G. Dinning, and I. J. Cook, "Manometry in the 21st Century: A Novel Fibre Optic Based Technology for Multi-Channel Intraluminal Manometry," Gastroenterol. 130, A730 (2006).

2005 (4)

C. Chojetzki, M. Rothardt, S. Ommer, S. Unger, K. Schuster, and H. R. Mueller, "High-reflectivity draw-tower fiber Bragg gratings—arrays and single gratings of type II," Opt. Eng. 44, 060503 (2005).
[CrossRef]

C. Dennison, M. Prasad, A. Lloyd, S. K. Bhattacharyya, R. Dhawan, and K. Coyne, "The health-related quality of life and economic burden of constipation," Pharmacoeconomics 25, 461-476 (2005).
[CrossRef]

A. J. Bredenoord, B. L. Weusten, R. Timmer, and A. J. Smout, "Sleeve sensor versus high-resolution manometry for the detection of transient lower esophageal sphincter relaxations," Am. J. Physiol. Gastrointest. Liver Physiol. 288 (2005).
[CrossRef] [PubMed]

J. E. Pandolfino and P. J. Kaharilas, "American Gastroenterological Association medical position statement: Clinical use of esophageal manometry," Gastroenterol. 128, 207-208 (2005).
[CrossRef]

2004 (4)

M. Fox, G. Hebbard, P. Janiak, J. G. Brasseur, S. Ghosh, M. Thumshirn, M. Fried, and W. Schwizer, "High-resolution manometry predicts the success of oesophageal bolus transport and identifies clinically important abnormalities not detected by conventional manometry," Neurogastroenterol. Mot. 116, 533-542 (2004).

L. Chang, "Review article: epidemiology and quality of life in functional gastrointestinal disorders," Aliment Pharmacol. Ther. 20 Suppl 7, 31-39 (2004).
[CrossRef]

P. G. Dinning, P. A. Bampton, J. Andre, M. L. Kennedy, D. Z. Lubowski, D. W. King, and I. J. Cook, Abnormal predefecatory colonic motor patterns define constipation in obstructed defaecation," Gastroenterol. 127, 49-56 (2004).
[CrossRef]

S. S. Rao, P. Sadeghi, J. Beaty, and R. Kavlock, "Ambulatory 24-hour colonic manometry in slow-transit constipation," Am. J. Gastroenterol. 99, 2405-2416 (2004).
[CrossRef] [PubMed]

2002 (1)

J. M. Andrews, D. G. O'Donovan, G. S. Hebbard, C. H. Malbert, S. M. Doran, and J. Dent, "Human duodenal phase III migrating motor complex activity is predominantly antegrade, as revealed by high-resolution manometry and colour pressure plots," Neurogastroenterol. Mot. 14, 331-338 (2002).
[CrossRef]

2001 (1)

R. B. Williams, A. Pal, J. G. Brasseur, and I. J. Cook, "Space-time pressure structure of pharyngo-esophageal segment during swallowing," Am. J. Physiol. Gastrointest. Liver Physiol. 281, G1290-1300 (2001).
[PubMed]

1997 (2)

W. M. Sun, G. S. Hebbard, C. H. Malbert, K. L. Jones, S. Doran, M. Horowitz, and J. Dent, "Spatial patterns of fasting and fed antropyloric pressure waves in humans," J. Physiol. 503, 455-462 (1997).
[CrossRef] [PubMed]

P. C. Rantis, Jr., A. M. Vernava, 3rd., G. L. Daniel, and W. E. Longo, "Chronic constipation--is the work-up worth the cost?," Dis. Colon Rectum 40, 280-286 (1997).
[CrossRef] [PubMed]

1996 (1)

T. Omari, M. Bakewell, R. Fraser, G. Davidson, and J. Dent, "Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors," Neurgastroenterol. Mot. 8, 241-245 (1996).
[CrossRef]

1993 (1)

J. A. Castell and D. O. Castell, "Modern solid state computerized manometry of the pharyngoesophageal segment," Dysphagia 8, 270-275 (1993).
[CrossRef] [PubMed]

1989 (1)

A. Sonnenberg and T. R. Koch, "Epidemiology of constipation in the United States," Dis. Colon Rectum 32, 1-8 (1989).
[CrossRef] [PubMed]

1986 (1)

J. M. Bland and D. G. Altman, "Statistical methods for assessing agreement between two methods of clincal measurement," Lancet 1, 307-310 (1986).
[CrossRef] [PubMed]

Altman, D. G.

J. M. Bland and D. G. Altman, "Statistical methods for assessing agreement between two methods of clincal measurement," Lancet 1, 307-310 (1986).
[CrossRef] [PubMed]

Andre, J.

P. G. Dinning, P. A. Bampton, J. Andre, M. L. Kennedy, D. Z. Lubowski, D. W. King, and I. J. Cook, Abnormal predefecatory colonic motor patterns define constipation in obstructed defaecation," Gastroenterol. 127, 49-56 (2004).
[CrossRef]

Andrews, J. M.

J. M. Andrews, D. G. O'Donovan, G. S. Hebbard, C. H. Malbert, S. M. Doran, and J. Dent, "Human duodenal phase III migrating motor complex activity is predominantly antegrade, as revealed by high-resolution manometry and colour pressure plots," Neurogastroenterol. Mot. 14, 331-338 (2002).
[CrossRef]

Arkwright, J. W.

T. Omari, J. W. Arkwright, S. N. Doe, N. Rommel, M. M. Szczesniak, P. G. Dinning, and I. J. Cook, "Manometry in the 21st Century: A Novel Fibre Optic Based Technology for Multi-Channel Intraluminal Manometry," Gastroenterol. 130, A730 (2006).

Bakewell, M.

T. Omari, M. Bakewell, R. Fraser, G. Davidson, and J. Dent, "Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors," Neurgastroenterol. Mot. 8, 241-245 (1996).
[CrossRef]

Bampton, P. A.

P. G. Dinning, P. A. Bampton, J. Andre, M. L. Kennedy, D. Z. Lubowski, D. W. King, and I. J. Cook, Abnormal predefecatory colonic motor patterns define constipation in obstructed defaecation," Gastroenterol. 127, 49-56 (2004).
[CrossRef]

Barghout, V.

B. C. Martin, V. Barghout, and A. Cerulli, "Direct medical costs of constipation in the United States," Manag. Care Interface 19, 43-49 (2006).

Beaty, J.

S. S. Rao, P. Sadeghi, J. Beaty, and R. Kavlock, "Ambulatory 24-hour colonic manometry in slow-transit constipation," Am. J. Gastroenterol. 99, 2405-2416 (2004).
[CrossRef] [PubMed]

Bhattacharyya, S. K.

C. Dennison, M. Prasad, A. Lloyd, S. K. Bhattacharyya, R. Dhawan, and K. Coyne, "The health-related quality of life and economic burden of constipation," Pharmacoeconomics 25, 461-476 (2005).
[CrossRef]

Bland, J. M.

J. M. Bland and D. G. Altman, "Statistical methods for assessing agreement between two methods of clincal measurement," Lancet 1, 307-310 (1986).
[CrossRef] [PubMed]

Brasseur, J. G.

M. Fox, G. Hebbard, P. Janiak, J. G. Brasseur, S. Ghosh, M. Thumshirn, M. Fried, and W. Schwizer, "High-resolution manometry predicts the success of oesophageal bolus transport and identifies clinically important abnormalities not detected by conventional manometry," Neurogastroenterol. Mot. 116, 533-542 (2004).

R. B. Williams, A. Pal, J. G. Brasseur, and I. J. Cook, "Space-time pressure structure of pharyngo-esophageal segment during swallowing," Am. J. Physiol. Gastrointest. Liver Physiol. 281, G1290-1300 (2001).
[PubMed]

Bredenoord, A. J.

A. J. Bredenoord, B. L. Weusten, R. Timmer, and A. J. Smout, "Sleeve sensor versus high-resolution manometry for the detection of transient lower esophageal sphincter relaxations," Am. J. Physiol. Gastrointest. Liver Physiol. 288 (2005).
[CrossRef] [PubMed]

Castell, D. O.

J. A. Castell and D. O. Castell, "Modern solid state computerized manometry of the pharyngoesophageal segment," Dysphagia 8, 270-275 (1993).
[CrossRef] [PubMed]

Castell, J. A.

J. A. Castell and D. O. Castell, "Modern solid state computerized manometry of the pharyngoesophageal segment," Dysphagia 8, 270-275 (1993).
[CrossRef] [PubMed]

Cerulli, A.

B. C. Martin, V. Barghout, and A. Cerulli, "Direct medical costs of constipation in the United States," Manag. Care Interface 19, 43-49 (2006).

Chang, L.

L. Chang, "Review article: epidemiology and quality of life in functional gastrointestinal disorders," Aliment Pharmacol. Ther. 20 Suppl 7, 31-39 (2004).
[CrossRef]

Chojetzki, C.

C. Chojetzki, M. Rothardt, S. Ommer, S. Unger, K. Schuster, and H. R. Mueller, "High-reflectivity draw-tower fiber Bragg gratings—arrays and single gratings of type II," Opt. Eng. 44, 060503 (2005).
[CrossRef]

Clarke, J. O.

J. E. Pandolfino, S. K. Ghosh, J. Rice, J. O. Clarke, M. A. Kwiatek, and P. J. Kahrilas, "Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls," Am. J. Gastroenterol. 103, 27-37 (2008).

Cook, I. J.

M. M. Szczesniak, N. Rommel, P. G. Dinning, S. E. Fuentealba, I. J. Cook, and T. I. Omari, "Optimal criteria for detecting bolus passage across the pharyngo-oesophageal segment during the normal swallow using intraluminal impedance recording," Neurogastroenterol. Mot. 20, 440-447 (2008).
[CrossRef]

T. Omari, J. W. Arkwright, S. N. Doe, N. Rommel, M. M. Szczesniak, P. G. Dinning, and I. J. Cook, "Manometry in the 21st Century: A Novel Fibre Optic Based Technology for Multi-Channel Intraluminal Manometry," Gastroenterol. 130, A730 (2006).

P. G. Dinning, P. A. Bampton, J. Andre, M. L. Kennedy, D. Z. Lubowski, D. W. King, and I. J. Cook, Abnormal predefecatory colonic motor patterns define constipation in obstructed defaecation," Gastroenterol. 127, 49-56 (2004).
[CrossRef]

R. B. Williams, A. Pal, J. G. Brasseur, and I. J. Cook, "Space-time pressure structure of pharyngo-esophageal segment during swallowing," Am. J. Physiol. Gastrointest. Liver Physiol. 281, G1290-1300 (2001).
[PubMed]

Coyne, K.

C. Dennison, M. Prasad, A. Lloyd, S. K. Bhattacharyya, R. Dhawan, and K. Coyne, "The health-related quality of life and economic burden of constipation," Pharmacoeconomics 25, 461-476 (2005).
[CrossRef]

Crowell, M. D.

M. P. Jones, J. Post, and M. D. Crowell, "High-resolution manometry in the evaluation of anorectal disorders: a simultaneous comparison with water-perfused manometry," Am. J. Gastroenterol. 102, 850-855 (2007).
[CrossRef] [PubMed]

Daniel, G. L.

P. C. Rantis, Jr., A. M. Vernava, 3rd., G. L. Daniel, and W. E. Longo, "Chronic constipation--is the work-up worth the cost?," Dis. Colon Rectum 40, 280-286 (1997).
[CrossRef] [PubMed]

Davidson, G.

T. Omari, M. Bakewell, R. Fraser, G. Davidson, and J. Dent, "Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors," Neurgastroenterol. Mot. 8, 241-245 (1996).
[CrossRef]

Dennison, C.

C. Dennison, M. Prasad, A. Lloyd, S. K. Bhattacharyya, R. Dhawan, and K. Coyne, "The health-related quality of life and economic burden of constipation," Pharmacoeconomics 25, 461-476 (2005).
[CrossRef]

Dent, J.

J. M. Andrews, D. G. O'Donovan, G. S. Hebbard, C. H. Malbert, S. M. Doran, and J. Dent, "Human duodenal phase III migrating motor complex activity is predominantly antegrade, as revealed by high-resolution manometry and colour pressure plots," Neurogastroenterol. Mot. 14, 331-338 (2002).
[CrossRef]

W. M. Sun, G. S. Hebbard, C. H. Malbert, K. L. Jones, S. Doran, M. Horowitz, and J. Dent, "Spatial patterns of fasting and fed antropyloric pressure waves in humans," J. Physiol. 503, 455-462 (1997).
[CrossRef] [PubMed]

T. Omari, M. Bakewell, R. Fraser, G. Davidson, and J. Dent, "Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors," Neurgastroenterol. Mot. 8, 241-245 (1996).
[CrossRef]

Dhawan, R.

C. Dennison, M. Prasad, A. Lloyd, S. K. Bhattacharyya, R. Dhawan, and K. Coyne, "The health-related quality of life and economic burden of constipation," Pharmacoeconomics 25, 461-476 (2005).
[CrossRef]

Dinning, P. G.

M. M. Szczesniak, N. Rommel, P. G. Dinning, S. E. Fuentealba, I. J. Cook, and T. I. Omari, "Optimal criteria for detecting bolus passage across the pharyngo-oesophageal segment during the normal swallow using intraluminal impedance recording," Neurogastroenterol. Mot. 20, 440-447 (2008).
[CrossRef]

T. Omari, J. W. Arkwright, S. N. Doe, N. Rommel, M. M. Szczesniak, P. G. Dinning, and I. J. Cook, "Manometry in the 21st Century: A Novel Fibre Optic Based Technology for Multi-Channel Intraluminal Manometry," Gastroenterol. 130, A730 (2006).

P. G. Dinning, P. A. Bampton, J. Andre, M. L. Kennedy, D. Z. Lubowski, D. W. King, and I. J. Cook, Abnormal predefecatory colonic motor patterns define constipation in obstructed defaecation," Gastroenterol. 127, 49-56 (2004).
[CrossRef]

Doe, S. N.

T. Omari, J. W. Arkwright, S. N. Doe, N. Rommel, M. M. Szczesniak, P. G. Dinning, and I. J. Cook, "Manometry in the 21st Century: A Novel Fibre Optic Based Technology for Multi-Channel Intraluminal Manometry," Gastroenterol. 130, A730 (2006).

Doran, S.

W. M. Sun, G. S. Hebbard, C. H. Malbert, K. L. Jones, S. Doran, M. Horowitz, and J. Dent, "Spatial patterns of fasting and fed antropyloric pressure waves in humans," J. Physiol. 503, 455-462 (1997).
[CrossRef] [PubMed]

Doran, S. M.

J. M. Andrews, D. G. O'Donovan, G. S. Hebbard, C. H. Malbert, S. M. Doran, and J. Dent, "Human duodenal phase III migrating motor complex activity is predominantly antegrade, as revealed by high-resolution manometry and colour pressure plots," Neurogastroenterol. Mot. 14, 331-338 (2002).
[CrossRef]

Fox, M.

M. Fox, G. Hebbard, P. Janiak, J. G. Brasseur, S. Ghosh, M. Thumshirn, M. Fried, and W. Schwizer, "High-resolution manometry predicts the success of oesophageal bolus transport and identifies clinically important abnormalities not detected by conventional manometry," Neurogastroenterol. Mot. 116, 533-542 (2004).

Fraser, R.

T. Omari, M. Bakewell, R. Fraser, G. Davidson, and J. Dent, "Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors," Neurgastroenterol. Mot. 8, 241-245 (1996).
[CrossRef]

Fried, M.

M. Fox, G. Hebbard, P. Janiak, J. G. Brasseur, S. Ghosh, M. Thumshirn, M. Fried, and W. Schwizer, "High-resolution manometry predicts the success of oesophageal bolus transport and identifies clinically important abnormalities not detected by conventional manometry," Neurogastroenterol. Mot. 116, 533-542 (2004).

Fuentealba, S. E.

M. M. Szczesniak, N. Rommel, P. G. Dinning, S. E. Fuentealba, I. J. Cook, and T. I. Omari, "Optimal criteria for detecting bolus passage across the pharyngo-oesophageal segment during the normal swallow using intraluminal impedance recording," Neurogastroenterol. Mot. 20, 440-447 (2008).
[CrossRef]

Gangarosa, L. M.

N. J. Shaheen, R. A. Hansen, D. R. Morgan, L. M. Gangarosa, Y. Ringel, M. T. Thiny, M. W. Russo, and R. S. Sandler, "The burden of gastrointestinal and liver diseases, 2006," Am. J. Gastroenterol. 101, 2128-2138 (2006).
[CrossRef] [PubMed]

Ghosh, S.

M. Fox, G. Hebbard, P. Janiak, J. G. Brasseur, S. Ghosh, M. Thumshirn, M. Fried, and W. Schwizer, "High-resolution manometry predicts the success of oesophageal bolus transport and identifies clinically important abnormalities not detected by conventional manometry," Neurogastroenterol. Mot. 116, 533-542 (2004).

Ghosh, S. K.

J. E. Pandolfino, S. K. Ghosh, J. Rice, J. O. Clarke, M. A. Kwiatek, and P. J. Kahrilas, "Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls," Am. J. Gastroenterol. 103, 27-37 (2008).

Hansen, R. A.

N. J. Shaheen, R. A. Hansen, D. R. Morgan, L. M. Gangarosa, Y. Ringel, M. T. Thiny, M. W. Russo, and R. S. Sandler, "The burden of gastrointestinal and liver diseases, 2006," Am. J. Gastroenterol. 101, 2128-2138 (2006).
[CrossRef] [PubMed]

Hebbard, G.

M. Fox, G. Hebbard, P. Janiak, J. G. Brasseur, S. Ghosh, M. Thumshirn, M. Fried, and W. Schwizer, "High-resolution manometry predicts the success of oesophageal bolus transport and identifies clinically important abnormalities not detected by conventional manometry," Neurogastroenterol. Mot. 116, 533-542 (2004).

Hebbard, G. S.

J. M. Andrews, D. G. O'Donovan, G. S. Hebbard, C. H. Malbert, S. M. Doran, and J. Dent, "Human duodenal phase III migrating motor complex activity is predominantly antegrade, as revealed by high-resolution manometry and colour pressure plots," Neurogastroenterol. Mot. 14, 331-338 (2002).
[CrossRef]

W. M. Sun, G. S. Hebbard, C. H. Malbert, K. L. Jones, S. Doran, M. Horowitz, and J. Dent, "Spatial patterns of fasting and fed antropyloric pressure waves in humans," J. Physiol. 503, 455-462 (1997).
[CrossRef] [PubMed]

Horowitz, M.

W. M. Sun, G. S. Hebbard, C. H. Malbert, K. L. Jones, S. Doran, M. Horowitz, and J. Dent, "Spatial patterns of fasting and fed antropyloric pressure waves in humans," J. Physiol. 503, 455-462 (1997).
[CrossRef] [PubMed]

Janiak, P.

M. Fox, G. Hebbard, P. Janiak, J. G. Brasseur, S. Ghosh, M. Thumshirn, M. Fried, and W. Schwizer, "High-resolution manometry predicts the success of oesophageal bolus transport and identifies clinically important abnormalities not detected by conventional manometry," Neurogastroenterol. Mot. 116, 533-542 (2004).

Jones, K. L.

W. M. Sun, G. S. Hebbard, C. H. Malbert, K. L. Jones, S. Doran, M. Horowitz, and J. Dent, "Spatial patterns of fasting and fed antropyloric pressure waves in humans," J. Physiol. 503, 455-462 (1997).
[CrossRef] [PubMed]

Jones, M. P.

M. P. Jones, J. Post, and M. D. Crowell, "High-resolution manometry in the evaluation of anorectal disorders: a simultaneous comparison with water-perfused manometry," Am. J. Gastroenterol. 102, 850-855 (2007).
[CrossRef] [PubMed]

Kaharilas, P. J.

J. E. Pandolfino and P. J. Kaharilas, "American Gastroenterological Association medical position statement: Clinical use of esophageal manometry," Gastroenterol. 128, 207-208 (2005).
[CrossRef]

Kahrilas, P. J.

J. E. Pandolfino, S. K. Ghosh, J. Rice, J. O. Clarke, M. A. Kwiatek, and P. J. Kahrilas, "Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls," Am. J. Gastroenterol. 103, 27-37 (2008).

Kavlock, R.

S. S. Rao, P. Sadeghi, J. Beaty, and R. Kavlock, "Ambulatory 24-hour colonic manometry in slow-transit constipation," Am. J. Gastroenterol. 99, 2405-2416 (2004).
[CrossRef] [PubMed]

Kennedy, M. L.

P. G. Dinning, P. A. Bampton, J. Andre, M. L. Kennedy, D. Z. Lubowski, D. W. King, and I. J. Cook, Abnormal predefecatory colonic motor patterns define constipation in obstructed defaecation," Gastroenterol. 127, 49-56 (2004).
[CrossRef]

King, D. W.

P. G. Dinning, P. A. Bampton, J. Andre, M. L. Kennedy, D. Z. Lubowski, D. W. King, and I. J. Cook, Abnormal predefecatory colonic motor patterns define constipation in obstructed defaecation," Gastroenterol. 127, 49-56 (2004).
[CrossRef]

Koch, T. R.

A. Sonnenberg and T. R. Koch, "Epidemiology of constipation in the United States," Dis. Colon Rectum 32, 1-8 (1989).
[CrossRef] [PubMed]

Kwiatek, M. A.

J. E. Pandolfino, S. K. Ghosh, J. Rice, J. O. Clarke, M. A. Kwiatek, and P. J. Kahrilas, "Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls," Am. J. Gastroenterol. 103, 27-37 (2008).

Lloyd, A.

C. Dennison, M. Prasad, A. Lloyd, S. K. Bhattacharyya, R. Dhawan, and K. Coyne, "The health-related quality of life and economic burden of constipation," Pharmacoeconomics 25, 461-476 (2005).
[CrossRef]

Longo, W. E.

P. C. Rantis, Jr., A. M. Vernava, 3rd., G. L. Daniel, and W. E. Longo, "Chronic constipation--is the work-up worth the cost?," Dis. Colon Rectum 40, 280-286 (1997).
[CrossRef] [PubMed]

Lubowski, D. Z.

P. G. Dinning, P. A. Bampton, J. Andre, M. L. Kennedy, D. Z. Lubowski, D. W. King, and I. J. Cook, Abnormal predefecatory colonic motor patterns define constipation in obstructed defaecation," Gastroenterol. 127, 49-56 (2004).
[CrossRef]

Malbert, C. H.

J. M. Andrews, D. G. O'Donovan, G. S. Hebbard, C. H. Malbert, S. M. Doran, and J. Dent, "Human duodenal phase III migrating motor complex activity is predominantly antegrade, as revealed by high-resolution manometry and colour pressure plots," Neurogastroenterol. Mot. 14, 331-338 (2002).
[CrossRef]

W. M. Sun, G. S. Hebbard, C. H. Malbert, K. L. Jones, S. Doran, M. Horowitz, and J. Dent, "Spatial patterns of fasting and fed antropyloric pressure waves in humans," J. Physiol. 503, 455-462 (1997).
[CrossRef] [PubMed]

Martin, B. C.

B. C. Martin, V. Barghout, and A. Cerulli, "Direct medical costs of constipation in the United States," Manag. Care Interface 19, 43-49 (2006).

Morgan, D. R.

N. J. Shaheen, R. A. Hansen, D. R. Morgan, L. M. Gangarosa, Y. Ringel, M. T. Thiny, M. W. Russo, and R. S. Sandler, "The burden of gastrointestinal and liver diseases, 2006," Am. J. Gastroenterol. 101, 2128-2138 (2006).
[CrossRef] [PubMed]

Mueller, H. R.

C. Chojetzki, M. Rothardt, S. Ommer, S. Unger, K. Schuster, and H. R. Mueller, "High-reflectivity draw-tower fiber Bragg gratings—arrays and single gratings of type II," Opt. Eng. 44, 060503 (2005).
[CrossRef]

O'Donovan, D. G.

J. M. Andrews, D. G. O'Donovan, G. S. Hebbard, C. H. Malbert, S. M. Doran, and J. Dent, "Human duodenal phase III migrating motor complex activity is predominantly antegrade, as revealed by high-resolution manometry and colour pressure plots," Neurogastroenterol. Mot. 14, 331-338 (2002).
[CrossRef]

Omari, T.

T. Omari, J. W. Arkwright, S. N. Doe, N. Rommel, M. M. Szczesniak, P. G. Dinning, and I. J. Cook, "Manometry in the 21st Century: A Novel Fibre Optic Based Technology for Multi-Channel Intraluminal Manometry," Gastroenterol. 130, A730 (2006).

T. Omari, M. Bakewell, R. Fraser, G. Davidson, and J. Dent, "Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors," Neurgastroenterol. Mot. 8, 241-245 (1996).
[CrossRef]

Omari, T. I.

M. M. Szczesniak, N. Rommel, P. G. Dinning, S. E. Fuentealba, I. J. Cook, and T. I. Omari, "Optimal criteria for detecting bolus passage across the pharyngo-oesophageal segment during the normal swallow using intraluminal impedance recording," Neurogastroenterol. Mot. 20, 440-447 (2008).
[CrossRef]

Ommer, S.

C. Chojetzki, M. Rothardt, S. Ommer, S. Unger, K. Schuster, and H. R. Mueller, "High-reflectivity draw-tower fiber Bragg gratings—arrays and single gratings of type II," Opt. Eng. 44, 060503 (2005).
[CrossRef]

Pal, A.

R. B. Williams, A. Pal, J. G. Brasseur, and I. J. Cook, "Space-time pressure structure of pharyngo-esophageal segment during swallowing," Am. J. Physiol. Gastrointest. Liver Physiol. 281, G1290-1300 (2001).
[PubMed]

Pandolfino, J. E.

J. E. Pandolfino, S. K. Ghosh, J. Rice, J. O. Clarke, M. A. Kwiatek, and P. J. Kahrilas, "Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls," Am. J. Gastroenterol. 103, 27-37 (2008).

J. E. Pandolfino and P. J. Kaharilas, "American Gastroenterological Association medical position statement: Clinical use of esophageal manometry," Gastroenterol. 128, 207-208 (2005).
[CrossRef]

Post, J.

M. P. Jones, J. Post, and M. D. Crowell, "High-resolution manometry in the evaluation of anorectal disorders: a simultaneous comparison with water-perfused manometry," Am. J. Gastroenterol. 102, 850-855 (2007).
[CrossRef] [PubMed]

Prasad, M.

C. Dennison, M. Prasad, A. Lloyd, S. K. Bhattacharyya, R. Dhawan, and K. Coyne, "The health-related quality of life and economic burden of constipation," Pharmacoeconomics 25, 461-476 (2005).
[CrossRef]

Rantis, P. C.

P. C. Rantis, Jr., A. M. Vernava, 3rd., G. L. Daniel, and W. E. Longo, "Chronic constipation--is the work-up worth the cost?," Dis. Colon Rectum 40, 280-286 (1997).
[CrossRef] [PubMed]

Rao, S. S.

S. S. Rao, P. Sadeghi, J. Beaty, and R. Kavlock, "Ambulatory 24-hour colonic manometry in slow-transit constipation," Am. J. Gastroenterol. 99, 2405-2416 (2004).
[CrossRef] [PubMed]

Rice, J.

J. E. Pandolfino, S. K. Ghosh, J. Rice, J. O. Clarke, M. A. Kwiatek, and P. J. Kahrilas, "Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls," Am. J. Gastroenterol. 103, 27-37 (2008).

Ringel, Y.

N. J. Shaheen, R. A. Hansen, D. R. Morgan, L. M. Gangarosa, Y. Ringel, M. T. Thiny, M. W. Russo, and R. S. Sandler, "The burden of gastrointestinal and liver diseases, 2006," Am. J. Gastroenterol. 101, 2128-2138 (2006).
[CrossRef] [PubMed]

Rommel, N.

M. M. Szczesniak, N. Rommel, P. G. Dinning, S. E. Fuentealba, I. J. Cook, and T. I. Omari, "Optimal criteria for detecting bolus passage across the pharyngo-oesophageal segment during the normal swallow using intraluminal impedance recording," Neurogastroenterol. Mot. 20, 440-447 (2008).
[CrossRef]

T. Omari, J. W. Arkwright, S. N. Doe, N. Rommel, M. M. Szczesniak, P. G. Dinning, and I. J. Cook, "Manometry in the 21st Century: A Novel Fibre Optic Based Technology for Multi-Channel Intraluminal Manometry," Gastroenterol. 130, A730 (2006).

Rothardt, M.

C. Chojetzki, M. Rothardt, S. Ommer, S. Unger, K. Schuster, and H. R. Mueller, "High-reflectivity draw-tower fiber Bragg gratings—arrays and single gratings of type II," Opt. Eng. 44, 060503 (2005).
[CrossRef]

Russo, M. W.

N. J. Shaheen, R. A. Hansen, D. R. Morgan, L. M. Gangarosa, Y. Ringel, M. T. Thiny, M. W. Russo, and R. S. Sandler, "The burden of gastrointestinal and liver diseases, 2006," Am. J. Gastroenterol. 101, 2128-2138 (2006).
[CrossRef] [PubMed]

Sadeghi, P.

S. S. Rao, P. Sadeghi, J. Beaty, and R. Kavlock, "Ambulatory 24-hour colonic manometry in slow-transit constipation," Am. J. Gastroenterol. 99, 2405-2416 (2004).
[CrossRef] [PubMed]

Sandler, R. S.

N. J. Shaheen, R. A. Hansen, D. R. Morgan, L. M. Gangarosa, Y. Ringel, M. T. Thiny, M. W. Russo, and R. S. Sandler, "The burden of gastrointestinal and liver diseases, 2006," Am. J. Gastroenterol. 101, 2128-2138 (2006).
[CrossRef] [PubMed]

Schuster, K.

C. Chojetzki, M. Rothardt, S. Ommer, S. Unger, K. Schuster, and H. R. Mueller, "High-reflectivity draw-tower fiber Bragg gratings—arrays and single gratings of type II," Opt. Eng. 44, 060503 (2005).
[CrossRef]

Schwizer, W.

M. Fox, G. Hebbard, P. Janiak, J. G. Brasseur, S. Ghosh, M. Thumshirn, M. Fried, and W. Schwizer, "High-resolution manometry predicts the success of oesophageal bolus transport and identifies clinically important abnormalities not detected by conventional manometry," Neurogastroenterol. Mot. 116, 533-542 (2004).

Shaheen, N. J.

N. J. Shaheen, R. A. Hansen, D. R. Morgan, L. M. Gangarosa, Y. Ringel, M. T. Thiny, M. W. Russo, and R. S. Sandler, "The burden of gastrointestinal and liver diseases, 2006," Am. J. Gastroenterol. 101, 2128-2138 (2006).
[CrossRef] [PubMed]

Smout, A. J.

A. J. Bredenoord, B. L. Weusten, R. Timmer, and A. J. Smout, "Sleeve sensor versus high-resolution manometry for the detection of transient lower esophageal sphincter relaxations," Am. J. Physiol. Gastrointest. Liver Physiol. 288 (2005).
[CrossRef] [PubMed]

Sonnenberg, A.

A. Sonnenberg and T. R. Koch, "Epidemiology of constipation in the United States," Dis. Colon Rectum 32, 1-8 (1989).
[CrossRef] [PubMed]

Sun, W. M.

W. M. Sun, G. S. Hebbard, C. H. Malbert, K. L. Jones, S. Doran, M. Horowitz, and J. Dent, "Spatial patterns of fasting and fed antropyloric pressure waves in humans," J. Physiol. 503, 455-462 (1997).
[CrossRef] [PubMed]

Szczesniak, M. M.

M. M. Szczesniak, N. Rommel, P. G. Dinning, S. E. Fuentealba, I. J. Cook, and T. I. Omari, "Optimal criteria for detecting bolus passage across the pharyngo-oesophageal segment during the normal swallow using intraluminal impedance recording," Neurogastroenterol. Mot. 20, 440-447 (2008).
[CrossRef]

T. Omari, J. W. Arkwright, S. N. Doe, N. Rommel, M. M. Szczesniak, P. G. Dinning, and I. J. Cook, "Manometry in the 21st Century: A Novel Fibre Optic Based Technology for Multi-Channel Intraluminal Manometry," Gastroenterol. 130, A730 (2006).

Thiny, M. T.

N. J. Shaheen, R. A. Hansen, D. R. Morgan, L. M. Gangarosa, Y. Ringel, M. T. Thiny, M. W. Russo, and R. S. Sandler, "The burden of gastrointestinal and liver diseases, 2006," Am. J. Gastroenterol. 101, 2128-2138 (2006).
[CrossRef] [PubMed]

Thumshirn, M.

M. Fox, G. Hebbard, P. Janiak, J. G. Brasseur, S. Ghosh, M. Thumshirn, M. Fried, and W. Schwizer, "High-resolution manometry predicts the success of oesophageal bolus transport and identifies clinically important abnormalities not detected by conventional manometry," Neurogastroenterol. Mot. 116, 533-542 (2004).

Timmer, R.

A. J. Bredenoord, B. L. Weusten, R. Timmer, and A. J. Smout, "Sleeve sensor versus high-resolution manometry for the detection of transient lower esophageal sphincter relaxations," Am. J. Physiol. Gastrointest. Liver Physiol. 288 (2005).
[CrossRef] [PubMed]

Unger, S.

C. Chojetzki, M. Rothardt, S. Ommer, S. Unger, K. Schuster, and H. R. Mueller, "High-reflectivity draw-tower fiber Bragg gratings—arrays and single gratings of type II," Opt. Eng. 44, 060503 (2005).
[CrossRef]

Vernava, A. M.

P. C. Rantis, Jr., A. M. Vernava, 3rd., G. L. Daniel, and W. E. Longo, "Chronic constipation--is the work-up worth the cost?," Dis. Colon Rectum 40, 280-286 (1997).
[CrossRef] [PubMed]

Weusten, B. L.

A. J. Bredenoord, B. L. Weusten, R. Timmer, and A. J. Smout, "Sleeve sensor versus high-resolution manometry for the detection of transient lower esophageal sphincter relaxations," Am. J. Physiol. Gastrointest. Liver Physiol. 288 (2005).
[CrossRef] [PubMed]

Williams, R. B.

R. B. Williams, A. Pal, J. G. Brasseur, and I. J. Cook, "Space-time pressure structure of pharyngo-esophageal segment during swallowing," Am. J. Physiol. Gastrointest. Liver Physiol. 281, G1290-1300 (2001).
[PubMed]

Aliment Pharmacol. Ther. (1)

L. Chang, "Review article: epidemiology and quality of life in functional gastrointestinal disorders," Aliment Pharmacol. Ther. 20 Suppl 7, 31-39 (2004).
[CrossRef]

Am. J. Gastroenterol. (4)

S. S. Rao, P. Sadeghi, J. Beaty, and R. Kavlock, "Ambulatory 24-hour colonic manometry in slow-transit constipation," Am. J. Gastroenterol. 99, 2405-2416 (2004).
[CrossRef] [PubMed]

N. J. Shaheen, R. A. Hansen, D. R. Morgan, L. M. Gangarosa, Y. Ringel, M. T. Thiny, M. W. Russo, and R. S. Sandler, "The burden of gastrointestinal and liver diseases, 2006," Am. J. Gastroenterol. 101, 2128-2138 (2006).
[CrossRef] [PubMed]

M. P. Jones, J. Post, and M. D. Crowell, "High-resolution manometry in the evaluation of anorectal disorders: a simultaneous comparison with water-perfused manometry," Am. J. Gastroenterol. 102, 850-855 (2007).
[CrossRef] [PubMed]

J. E. Pandolfino, S. K. Ghosh, J. Rice, J. O. Clarke, M. A. Kwiatek, and P. J. Kahrilas, "Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls," Am. J. Gastroenterol. 103, 27-37 (2008).

Am. J. Physiol. Gastrointest. Liver Physiol. (2)

A. J. Bredenoord, B. L. Weusten, R. Timmer, and A. J. Smout, "Sleeve sensor versus high-resolution manometry for the detection of transient lower esophageal sphincter relaxations," Am. J. Physiol. Gastrointest. Liver Physiol. 288 (2005).
[CrossRef] [PubMed]

R. B. Williams, A. Pal, J. G. Brasseur, and I. J. Cook, "Space-time pressure structure of pharyngo-esophageal segment during swallowing," Am. J. Physiol. Gastrointest. Liver Physiol. 281, G1290-1300 (2001).
[PubMed]

Dis. Colon Rectum (2)

P. C. Rantis, Jr., A. M. Vernava, 3rd., G. L. Daniel, and W. E. Longo, "Chronic constipation--is the work-up worth the cost?," Dis. Colon Rectum 40, 280-286 (1997).
[CrossRef] [PubMed]

A. Sonnenberg and T. R. Koch, "Epidemiology of constipation in the United States," Dis. Colon Rectum 32, 1-8 (1989).
[CrossRef] [PubMed]

Dysphagia (1)

J. A. Castell and D. O. Castell, "Modern solid state computerized manometry of the pharyngoesophageal segment," Dysphagia 8, 270-275 (1993).
[CrossRef] [PubMed]

Gastroenterol. (3)

J. E. Pandolfino and P. J. Kaharilas, "American Gastroenterological Association medical position statement: Clinical use of esophageal manometry," Gastroenterol. 128, 207-208 (2005).
[CrossRef]

P. G. Dinning, P. A. Bampton, J. Andre, M. L. Kennedy, D. Z. Lubowski, D. W. King, and I. J. Cook, Abnormal predefecatory colonic motor patterns define constipation in obstructed defaecation," Gastroenterol. 127, 49-56 (2004).
[CrossRef]

T. Omari, J. W. Arkwright, S. N. Doe, N. Rommel, M. M. Szczesniak, P. G. Dinning, and I. J. Cook, "Manometry in the 21st Century: A Novel Fibre Optic Based Technology for Multi-Channel Intraluminal Manometry," Gastroenterol. 130, A730 (2006).

J. Physiol. (1)

W. M. Sun, G. S. Hebbard, C. H. Malbert, K. L. Jones, S. Doran, M. Horowitz, and J. Dent, "Spatial patterns of fasting and fed antropyloric pressure waves in humans," J. Physiol. 503, 455-462 (1997).
[CrossRef] [PubMed]

Lancet (1)

J. M. Bland and D. G. Altman, "Statistical methods for assessing agreement between two methods of clincal measurement," Lancet 1, 307-310 (1986).
[CrossRef] [PubMed]

Manag. Care Interface (1)

B. C. Martin, V. Barghout, and A. Cerulli, "Direct medical costs of constipation in the United States," Manag. Care Interface 19, 43-49 (2006).

Neurgastroenterol. Mot. (1)

T. Omari, M. Bakewell, R. Fraser, G. Davidson, and J. Dent, "Intraluminal micromanometry: an evaluation of the dynamic performance of micro-extrusions and sleeve sensors," Neurgastroenterol. Mot. 8, 241-245 (1996).
[CrossRef]

Neurogastroenterol. Mot. (3)

M. Fox, G. Hebbard, P. Janiak, J. G. Brasseur, S. Ghosh, M. Thumshirn, M. Fried, and W. Schwizer, "High-resolution manometry predicts the success of oesophageal bolus transport and identifies clinically important abnormalities not detected by conventional manometry," Neurogastroenterol. Mot. 116, 533-542 (2004).

J. M. Andrews, D. G. O'Donovan, G. S. Hebbard, C. H. Malbert, S. M. Doran, and J. Dent, "Human duodenal phase III migrating motor complex activity is predominantly antegrade, as revealed by high-resolution manometry and colour pressure plots," Neurogastroenterol. Mot. 14, 331-338 (2002).
[CrossRef]

M. M. Szczesniak, N. Rommel, P. G. Dinning, S. E. Fuentealba, I. J. Cook, and T. I. Omari, "Optimal criteria for detecting bolus passage across the pharyngo-oesophageal segment during the normal swallow using intraluminal impedance recording," Neurogastroenterol. Mot. 20, 440-447 (2008).
[CrossRef]

Opt. Eng. (1)

C. Chojetzki, M. Rothardt, S. Ommer, S. Unger, K. Schuster, and H. R. Mueller, "High-reflectivity draw-tower fiber Bragg gratings—arrays and single gratings of type II," Opt. Eng. 44, 060503 (2005).
[CrossRef]

Pharmacoeconomics (1)

C. Dennison, M. Prasad, A. Lloyd, S. K. Bhattacharyya, R. Dhawan, and K. Coyne, "The health-related quality of life and economic burden of constipation," Pharmacoeconomics 25, 461-476 (2005).
[CrossRef]

Other (2)

http://www.ipht-jena.de.

J. W. Arkwright, S. N. Doe, M. C. Smith, N. G. Blenman, I. D. Underhill, S. A. Maunder, B. Glasscock, M. M. Szczesniak, P. G. Dinning, and I. J. Cook, "A Fibre Bragg Grating Manometry Catheter for In-vivo Diagnostics of Swallowing Disorders," TuI-2, OECC/ACOFT 2008, Sydney, Australia, 7 - 10 July (2008).

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Figures (10)

Fig. 1.
Fig. 1.

Schematic of the fibre Bragg grating sensor array

Fig. 2.
Fig. 2.

Data acquisition equipment used to record pressure changes along the catheter

Fig. 3.
Fig. 3.

Typical calibration curve for one of the fbg pressure sensors. Calibration was carried out with both increasing and decreasing pressures. The black line is a linear fit to the data.

Fig. 4.
Fig. 4.

Photograph of the fibre optic and solid state catheters taped together prior to intubation.

Fig. 5.
Fig. 5.

Correlation plot of data recorded by the fibre optic and solid state catheters

Fig. 6.
Fig. 6.

Data recorded by fibre optic and solid state catheters from a single swallow

Fig. 7.
Fig. 7.

Photographs of a multi-element catheter demonstrating the flexibility of the sensing region

Fig. 8.
Fig. 8.

Output from (A) Line plot outputs from an 8-element water perfused manometry catheter demonstrating the reduced information available from low-resolution manometry devices (B) line plots from the 32-element fibre optic catheter during a typical swallow showing outputs from each individual sensor; and (C) an interpolated spatio-temporal plot of the same data.

Fig. 9.
Fig. 9.

Time-varying output from sensor #3 located within the UES. Details of the plot are given in the text.

Fig. 10.
Fig. 10.

Time-varying output from sensor #21 located above the LES. Details of the plot are given in the text.

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